Employment Test

EBS Security is an equal opportunity employer and affords equal opportunity to all applicants for all positions without regard to race, color, religion, gender, national origin, age, disability, veteran status or any other status protected under local, state or federal laws.

First Name

Middle Initial

Last Name

Street Address

Apt. No.

City

State

Zip Code

Email Address

Home Phone Number

Are you 18 or older

Yes No

Emergency Number

Work Availability

Total hour available per week

Mon

Tues

Wed

Thurs

Fri

Sat

Sun

From

To

Are you legally able to be employed in the U.S.?

Yes No

How did you hear of job?

Position Applying For?

Do you have transportation to work?

Yes No

Do you have a valid driver's license?

Yes No

School Most Recently Attended

Name

Location

Graduated

Yes
No

Now Enrolled

Yes
No

Grade Completed

Favorite Subject

Work History(if not applicable, list U.S. Military, volunteer
work, or personal references)

Company

Address

City

State

Zip

Supervisor

Phone

Salary

Job Title

Dates Worked

From

To

Reason for leaving

Company

Address

City

State

Zip

Supervisor

Phone

Salary

Job Title

Dates Worked

From

To

Reason for leaving

Company

Address

City

State

Zip

Supervisor

Phone

Salary

Job Title

Dates Worked

From

To

Reason for leaving

During the past seven years, have you ever been convicted of a crime?
Yes
No

I can perform all job duties Yes
No

I can perform all job duties except:

ReferencesKnown at least two years and not related to you.

Name

Phone Number

Relationship

Years Known

Name

Phone Number

Relationship

Years Known

Name

Phone Number

Relationship

Years Known

Is anyone related to you employed by EBS? Yes No

If yes, please provide their name and relationship to you.

Have you ever applied or worked for EBS Security before? Yes No

If yes, please provide the date.

*PLEASE READ CAREFULLY BEFORE SUBMITTING FORM*

I hereby certify that all of the information provided by me in this application (or any other accompanying or required documents) is true, accurate, and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents or interview(s) will be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery.

I understand that submission of an application does not guarantee employment. I further understand that, should an offer of employment be extended by EBS Security (hereinafter referred to as "EBS") that such employment with EBS is at will, for no specified duration and may be terminated by either EBS or myself at any time, with or without cause or notice. I understand that none of the documents, policies, procedures, actions, statements of EBS or its representatives used during the employment process is deemed a contract of employment real or implied. I understand that no representative of EBS except the President has the authority to enter into any agreement guaranteeing any conditions of employment or any agreement contrary to the foregoing statements and that any such agreements must be made in writing and signed by the President of EBS.

In consideration for employment with EBS, if employed, I agree to conform to the rules, regulations, policies and procedures of EBS at all times and understand that such obedience is a condition of employment. I understand that due to the nature of EBS’ business, attendance and punctuality are considered essential requirements of every job at EBS and that poor attendance or tardiness will result in disciplinary action.
I understand that if offered a position with EBS, I may be required to submit to a pre-employment medical examination, drug screening and background check as a condition of employment. I understand that unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of these pre-employments tests and checks will result in withdrawal of any employment offer or termination of employment if already employed.

I understand that this application is considered current for approximately nine (9) months. If I wish to be considered for employment after this period I must update my application information via phone call or in person.

BY SUBMITTING THIS FORM I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE STATEMENTS.

CAPTCHA :This helps to prevent automated submission...

Submission of
this form via e-mail will be considered the same as a signature.